Individual
STEPHEN MAINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7305 S M ST, TACOMA, WA 98408-3037
(253) 993-9595
Mailing address
7305 S M ST, TACOMA, WA 98408-3037
(253) 993-9595
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
756240
WA
Other
Enumeration date
05/03/2023
Last updated
05/03/2023
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